FAFP1 Pharmaceutical care I
Lecture:
Introduction to the course and its objectives
Introduction to Pharmaceutical Care
23. 9. 2019
PharmDr. Bc. Dana Mazankova, Ph.D.
Coordinator of the course Pharmaceutical Care I.
Dpt. of Applied Pharmacy
E-mail: mazankovad@vfu.cz
FAFP1 Pharmaceutical Care I.
• 4rd year of study
• Before enrolling this course, you should preferably pass course FAFT1 Pharmacology I.
• This course is building on your knowledge from:
▫ pharmacology, physiology, pathophysiology, biochemistry, pathobiochemistry
▫ if you do not have sufficient knowledge, you are strongly advised to study at home before
coming to the lecture and seminar
• Statut: compulsory course
• Weekly subsidy of hours: 1 lecture / 1 seminar
• Form of ending: credit
• Number of credits: 1 credit
Time schedule of course:
Monday (once a 2 weeks - every odd calandar week):
13.30 – 15.00 lecture
15.00 – 16.30 seminar
Place: building No 45 (Pavilon of Pharmacy II.), seminar room No 224
Conditions for passing a course:
1. 100% participation in seminars
- in the case of non-attened seminars is necessary:
- send written excuse to coordinator of course (mazankovad@vfu.cz), and
its substitution, at last in the last seminar: 2. 12. 2019 (necessary before writing a credit test)
2. Presentation of a seminar work
3. Successfull passing a half-semester test
- term of a half-semester test: in the beginning of seminar: 4. 11. 2019
4. Successfull passing a credit test
- term of a credit test: in the last seminar: 2. 12. 2019
All relevant information about this course you can find in Moodle course:
FAFP1 Pharmaceutical Care I.
Syllabus of lectures and seminars - winter semestr 2019-2020
Date of
lecture and
seminar
Lecture
(learning outcome)
Seminar
(structure of seminar)
Lector
23. 9. 2019 Introduction to Pharmaceutical
care
DRPs and its classification, Dispensing
minimum. Setting of seminar works.
PharmDr. Bc. Dana
Mazánková, Ph.D.
7. 10. 2019 Gastrointestinal diseases I. Gastrointestinal diseases I. - case studies PharmDr. Bc. Dana
Mazánková, Ph.D.
21. 10. 2019 Respiratory diseases Respiratory diseases - case studies PharmDr. Bc. Dana
Mazánková, Ph.D.
4. 11. 2019 Dermatologic treatment Half-semester test
Antibiotic therapy, Infectious diseases case
studies
PharmDr. Bc. Dana
Mazánková, Ph.D.
PharmDr. Marek Lžičař
PharmDr. Martin Šimíček
18. 11. 2019 Analgetics, pain treatment and
its management
Analgetics, pain treatment and its
management - case studies
PharmDr. Martin Šimíček
2. 12. 2019 Gastrointestinal diseases II.
Consultations for credit test
Substitution of non-attended seminars
Evaluation of the course - credit test
PharmDr. Bc. Dana
Mazánková, Ph.D.
Structure of worked-out seminar work:
• choosen topic from the list
• worked-out in Word format (maximum of 3 pages range)
• present in seminar in Power Point format (maximum 10 slides, 5-7 min.)
• at the end of seminar work: list of used literature sources (references)
• both versions of seminar work (Word, PP) send in electronic version minimum 1 day before its
presenting to: mazankovad@vfu.cz
No of
seminar
Date of
seminar
presentation
FAFP1 Pharmaceutical Care I (academic year 2019-2020)
Topics of seminar works
Name of student
e-mail contact to
student
2. 7. 10. 2019
Topic 1:
Regimen intervention in patients with diarrhea and constipation
Student:
e-mail:
Topic 2:
Proton pump inhibitors (PPI) - mechanismus of action, indication, dosage, side effects,
drug interactions, risks
Student 1:
e-mail:
Student 2:
e-mail:
3. 21.10. 2019
Topic 3:
Flu vaccination – indication, risks, benefits, dosage forms
Student 1:
e-mail:
Student 2:
e-mail:
Topic 4:
Paracetamolum - mechanismus of action, indication, contraindications, dosage, side
effects
Student:
e-mail:
4. 4. 11. 2019
Topic 5:
Herpes simplex – treatment, regimen intervention
Student:
e-mail:
Topic 6:
Drug interactions of antibiotics
Student:
e-mail:
5. 18.11. 2019
Topic 7:
Nonsteroidal Anti-inflammatory Drugs (NSAIDs) – mechanismus of action, indication,
dosage
Student 1:
e-mail:
Student 2:
e-mail:
Topic 8:
Nonsteroidal Anti-inflammatory Drugs (NSAIDs) – side effects, contraindications, risks
Student:
e-mail:
Three levels of care of patients
1. Health Care
= care provided by all health care proffessionals
(physicians, pharmacists, nurses, clinical psychologists, clinical logopeds, …)
2. Pharmacy Care
= care provided by pharmacists in pharmacy
3. Pharmaceutical Care
= care provided by pharmacists in pharmacy, with added aspects
Pharmacy care
Definition of Pharmacy care
- defined by the Act No. 20/1996 Coll. On care of public health
- by Pharmacy Care we especially understand:
- ordering, preparation, control, storing and dispensing medicines and medical
devices
AS WELL AS providing professional information to patients
Provision of Pharmacy care
- linked to:
- place
- pharmacy
- medical devices shop
- qualified person
- pharmacist
- pharmacy technician
Special aspects of Pharmacy care:
1. Medicines are specific goods which requires special manipulation
2. Special undergraduate and postgraduate education
3. Control of the level of provided care
Definition of Pharmaceutical care
In 1990 Hepler and Strand defined Pharmaceutical care as:
The responsible provision of drug therapy with the purpose to achieve defined outcomes that
improve patient’s quality of life.
In 2004 in Spain Berenguer at al defined Pharmaceutical care as:
Responsible provision of pharmacotherapy for the purpose of achieving definite outcomes that
improve or maintain a patient’s quality of life.
- collaborative process (with patients, physicians) that aims to prevent or identify and solve
medicinal product and health related problems
- continuous quality improvement process for the use of medicinal products
Pharmaceutical care
- Care which pharmacist provides to patient in order to reach optimal pharmacotherapy:
- 1. quality
- 2. safe
- 3. effective
- 4. timely
- 5. monitored
Why do we need Pharmaceutical care?
Patients desire more information about medicines and food supplements
- … role of pharmacist
Doctors don't have enough time to talk with patients about medicines use and all food
supplements
- … role of pharmacist
It is economic saving for patient as well as the health care system
- … role of pharmacist
Pharmaceutical care principles
I. Patient‘s benefit
II. ensure patient gets high quality medicines and appropriate information
III. Pharmacist should contribute to rational prescribing
Provision of Pharmaceutical care – examples of individual consulations
 Patients are seeking for information about smoking cessation in pharmacies
 Loosing weight management
 Self-medication counselling
 Blood pressure / cholesterol level / glucose level self-monitoring
Pharmaceutical Care Network Europe - PCNE
- Established in 1994
- 18 members including Czech Republic
Drug-related Problems (DRPs)
- indicating some problem in the pharmacotherapy of the patients
DRPs are defined as:
 problems in the pharmacotherapy of the individual patient that actually or potentially
interfere with desired health outcomes
(definition PCNE 1999)
 event or circumstance involving drug therapy that actually or potentially interferes
with desired health outcomes
Drug-related Problems (DRPs)
Pharmaceutical care focus on:
(1) identification
(2) solving
(3) prevention of drug related problems
• before DRPs result in drug related morbidity and mortality
The effect of DRP:
• non-effective therapy
• large economical losts
Drug related problems
Cause of
DRPs:
Level of
appearance:
Risk of
appearance:
Predictability:
Categories of DRP
 Nontreated indication
 Useless therapy
 Inappropriate dosage
 Medicine duplication
 Drug interactions
 Treatment failure
 Adverse drug reaction (ADR), alergic reaction
 Non-compliance
 Prescription error
The PCNE Classification V 8.02
Classification for Drug Related Problems
 Problems (P)
 Causes (C)
 Interventions (I)
Thank you for attention!